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� �"�pN� City of Orono FOR CITY USE ONLY <br /> O '�, P.O. Box 66 Date Received: <br /> �'� 2750 Kelley Parkway <br /> `., ;� ;, Crystai Bay,MN 55323 Permit# <br /> ^;. <br /> ��^ � (952)249-4600—Main App�oved By: <br /> �4sHo�`` (952)249-�616—Fax <br /> � Amount$: <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe pfumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> �sidential ❑ Commercial (Approval Required) [Backflow Device: Q AVB ❑PVB] <br /> l � <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> "You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: c�l�o� `f ��G�E'�`t} IN��KI `� <br /> Owner: � c=lr�/ xl�,�F��- Mailing Address: ��`� �d-f�9--�Y' ����1 � - <br /> City: d��v Zip: �S3�i 1 <br /> Home Phone: (a Alternate Phone: �/Z � 7� 1 -sl// <br /> Contractor Information: <br /> Contractor��- i�5 l�-t��1 �w� . Contact Person: �ll�-��{Q-dL-1L{ T�'� <br /> Address:� (� �C �t��3 � _ State Bond #: � l 3�lv^7� �v <br /> City: �'T1��%.1 S ��9-�-eL Zip: �5-��-�- Expiration Date: � � �� <br /> Phone: �l Z `� �> ! � �-1 � �- Alternate Phone: <br /> �Insurance - Current: c3��nl�i��� "`�l �E�,e�� �i�Z3 ;��g <br /> Page 1 <br />